Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey.
Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey.
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DOI：
10.1093/ageing/afv145
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发表时间：
2015-11
期刊：
影响因子：
6.7
通讯作者：
Kondo N
中科院分区：
文献类型：
--
作者：
Tani Y;Sasaki Y;Haseda M;Kondo K;Kondo N
背景：独自进食可能是老年人患精神疾病的一个危险因素，但也可能受到同居状况的影响。我们研究了日本老年人在同居状态下单独进食与抑郁症之间的关系。设计：一项纵向的、以人群为基础的研究。设置：数据来自日本老年学评价研究。受试者：我们分析了2010年基线时年龄≥65岁且无抑郁症（老年抑郁量表<5）的17，612名男性和19，581名女性。方法：将进食状况分为两类：与他人一起进食和独自进食。到2013年抑郁症发病的风险是使用泊松回归估计的。结果如下：在调整了社会经济状况、身体健康、营养状况、社会支持、社会参与、交友频率、就业状况和婚姻状况等因素后，单独用餐的男性与他人一起用餐的男性相比，抑郁发作的校正率比（ARR）为2.36（95%置信区间[CI]：1.18-4.71），与他人同住的为1.03（95% CI：0.81-1.32）。在女性中，与与其他人一起吃饭的人相比，独自吃饭的人患抑郁症的ARR为1.31（95% CI：1.00-1.72），独居者为1.21（95% CI：1.01-1.44）。结论：独自进食可能是抑郁症的一个危险因素。在男性中，独自吃饭对抑郁症的影响可能会因独自生活而加强，但似乎在独自生活的女性和与他人生活的女性中大致相当。
Background: eating by oneself may be a risk factor for mental illness among older adults, but may be influenced by cohabitation status. We examined the association between eating alone and depression in the context of cohabitation status in older adults in Japan. Design: a longitudinal, population-based study. Setting: data from the Japan Gerontological Evaluation Study. Subjects: we analysed 17,612 men and 19,581 women aged ≥65 without depression (Geriatric Depression Scale <5) at baseline in 2010. Methods: eating status was classified into two categories: eating with others and eating alone. The risk of depression onset by 2013 was estimated using Poisson regression. Results: after adjusting for socioeconomic status, physical health, nutritional status, social support, social participation, frequency of meet friends, employment status and marital status, the adjusted rate ratio (ARR) for depression onset in men who ate alone compared with those who ate with others was 2.36 (95% confidence intervals [CI]: 1.18–4.71) for those living alone and 1.03 (95% CI: 0.81–1.32) for those living with others. Among women, the ARR for depression for those who ate alone compared with those who ate with others was 1.31 (95% CI: 1.00–1.72) for those living alone and 1.21 (95% CI: 1.01–1.44) for those living with others. Conclusions: eating alone may be a risk factor for depression. Among men, the effect of eating alone on depression may be reinforced by living alone, but appears to be broadly comparable in women living alone and women living with others.